Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $6,025.60 / $19,054.61	Facility		$4,265.80	$6,025.60	$19,054.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,019.95 / $6,309.57	Professional		$1,995.26	$3,019.95	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $7,413.10 / $8,511.38	Facility		$3,388.44	$7,413.10	$8,511.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,801.89 / $4,570.88	Professional		$1,698.24	$3,801.89	$4,570.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,073.80 / $10,964.78	Facility		$3,235.94	$4,073.80	$10,964.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,073.80 / $8,912.51	Professional		$3,235.94	$4,073.80	$8,912.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $75.86	Professional		$64.57	$75.86	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $6,165.95	Facility		$3,235.94	$3,235.94	$6,165.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,623.41 / $9,772.37	Facility		$3,235.94	$5,623.41	$9,772.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,890.45	Professional		$2,884.03	$2,884.03	$3,890.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,897.79 / $8,912.51	Facility		$3,388.44	$4,897.79	$8,912.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,884.03 / $3,630.78	Professional		$2,754.23	$2,884.03	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,890.45 / $3,890.45	Facility		$3,235.94	$3,890.45	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,348.96 / $3,630.78	Professional		$1,202.26	$1,348.96	$3,630.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $3,235.94 / $5,888.44	Professional		$1,445.44	$3,235.94	$5,888.44